Otoko no ko refers to individuals assigned male at birth but identify as female. They could undergo hormone replacement therapy and GCS to align physical appearance with their gender identity. Otoko no ko are commonly linked to the crossdressing community and enjoy expressing their femininity through fashion and cosmetics. Certain individuals may consider themselves otoko no ko on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have more visible and accepted in the community, resulting in greater awareness and understanding.

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